Department of Neurology and Strokes, University Clinical Hospital of the Military Medical Academy - Central Veterans Hospital, Łódź, Poland.
Department of Gastroenterology, Allergology and Paediatrics, Polish Mother's Memorial Hospital - Research Institute, Łódź, Poland.
Pol Merkur Lekarski. 2021 Apr 18;49(290):146-149.
Cerebral venous infarction also known as cerebral venous thrombosis (CVT) is a rare disease. It is more common in young adults, but three times more common in women than in men. The clinical picture of CVT may vary and non-specific manifestations often delay correct diagnosis. Headaches of various location, nature and severity occur in 90% of cases. Radiology findings in the central nervous system include bilateral cerebral involvement and foci location that does not correspond to arterial supply. More than 100 factors that may predispose to CVT have been identified. The aetiology of CVT remains unknown in about 20% of patients.
In this paper we present a case of 35-year-old woman at 27 weeks of gestation, who was admitted to the hospital after the first epileptic seizure in her life. The patient's history revealed the headaches that had lasted for about 3 months prior. The patient had no family history of hypercoagulability. The patient was diagnosed with CVT - a hemorrhagic lesion in the left hemisphere of the brain as a result of dural sinus thrombosis. Anticoagulant treatment according to current guidelines was started with good results.
脑静脉梗死又称脑静脉血栓形成(CVT),是一种罕见疾病。它在年轻成年人中更为常见,但女性比男性多见三倍。CVT 的临床表现可能多种多样,非特异性表现常导致诊断延误。90%的病例会出现各种部位、性质和严重程度的头痛。中枢神经系统的放射学发现包括双侧大脑受累和病灶位置与动脉供应不对应。已经确定了 100 多种可能导致 CVT 的因素。约 20%的 CVT 患者的病因仍不清楚。
本文介绍了一位 35 岁的孕妇,她在怀孕 27 周时首次癫痫发作后被送进医院。患者病史显示头痛已持续约 3 个月。患者无家族性高凝病史。患者被诊断为 CVT - 由于硬脑膜窦血栓形成导致左半球脑出血性病变。根据当前指南开始抗凝治疗,效果良好。